Dentine bonding systems, composite resins and fibre posts have widely replaced cast posts and amalgam as core materials; all-ceramic and composite crowns have also replaced metal ceramic crowns in many aesthetic cases. The aim of this book is to provide the general practitioner with some principles and techniques for the adhesive restoration of root filled teeth.

Foreword
Adhesive materials and techniques, together with advances in fibre posts, have revolutionised the restoration of root canal treated teeth. This revolution offers many new exciting opportunities, but has created new challenges. Adhesive restoration of endodontically treated teeth—the latest, keenly-awaited addition to the widely-acclaimed Quintessentials of Dental Practice series, provides a concise, highly practical overview of modern principles and procedures for the restoration of root canal treated teeth in clinical practice. The information and guidance included in this volume is of immediate practical relevance.

If you are still using traditional approaches to restore root canal treated teeth, apply bonding procedures, but in a limited range of situations, or wish simply to better understand where, when and how to use fibre posts and associated materials, then this book should be a priority on your “must read” list.

For those who have already purchased and read volumes in the Quintessentials series, the format will be familiar—easy to read, authoritative text, accompanied by numerous high quality illustrations, with each chapter concluding with carefully selected suggestions for further reading. All of this condensed into a book which takes only a few hours to read, with the prospect of a huge return for your time and effort. For many, the restoration of root canal treated teeth will never be the same again.

Another carefully crafted, well illustrated volume, further expanding and enhancing the Quintessentials series—one of the most efficient and effective ways to learn about, understand and apply modern concepts and procedures in clinical practice.

Nairn Wilson, Editor-in-Chief

Preface
The restoration of root canal treated teeth has changed considerably in recent years. Dentine bonding systems, composite resins and fibre posts have largely replaced amalgam cores and cast metal posts; all-ceramic and composite crowns have superseded metal ceramic crowns in the management of aesthetic problems. Many universities across the world are now teaching the use of fibre posts and composite as the principal means of restoring root-filled teeth.

Key advantages of contemporary adhesive techniques include:
• Immediate post-endodontic placement of a post and core build-up.
• Design and construction of the post-endodontic restoration under the direct control of the dentist.
• Securing an immediate and enhanced post-endodontic coronal seal.
• Provision of restorations with improved aesthetics.
• Ability to preserve and bond to tooth tissue which would be removed in conventional, non-adhesive techniques.

This is a book on adhesive restorations. As a consequence, other techniques are not considered in any detail. This does not mean that non-adhesive restorations such as Nayyar cores and cast metal posts are no longer valid modalities of treatment, but the evidence supporting the use of fibre posts and composite exceeds the evidence in favour of metal posts and cores.

The aim of this book is to provide the general practitioner with principles and techniques for the adhesive restoration of root canal treated teeth. Most of the techniques described in this book have been used and refined by the authors over the last 12 years; most of them have also been tested in two clinical studies published in peer-reviewed journals. As this is a practical book, the scientific evidence supporting our work is not described in detail. The reading lists contain references to relevant clinical and scientific data.

In addition to considerations of restoration placement, consideration is given to re-treatment, including the removal of fibre posts, which may present special challenges for the general practitioner. Discussion of the restorative decision-making processes is included in the concluding chapter, to be read subsequent to the description of the adhesive restorative options for the restoration of root canal treated teeth.